Conditional reimbursement of health care

Health care in the insured package must comply with the ‘established medical science and medical practice’ criterion. This criterion demands a black-and-white answer; however, sometimes having the room to say ‘yes, providing’ would be desirable. This would make it possible to reimburse health care that does not fulfil the statutory criterion, on condition that data are collected about the effectiveness of that care.

This report is a summary of recommendations by Zorginstituut Nederland. The original text is in Dutch.